registration form - Connected Vehicle Workshop

Western Canada Connected Vehicle Workshop April 14, 2015
EVENT REGISTRATION FORM
Workshop title:
Western Canada Connected Vehicle Workshop: Preparing Road Authorities for the Future
Organizer:
Workshop date:
Primary Sponsor:
Workshop venue:
ITS Canada and the University of Alberta Centre for Smart Transportation
Tuesday, April 14, 2015 - 8:30 am to 5:30 pm MDT
University of Alberta & NSERC
University of Alberta, Solarium, 2nd Floor (Maier Learning Centre), Engineering Teaching and
Learning Complex, Edmonton, AB, Canada
www.its.ualberta.ca
Workshop website:
Name:
Title:
Organization:
Address:
City
Province:
Postal Code:
Tel:
Email:
Registration type: (circle all that apply)
Type
ITS Canada
Member
Non-member
$40
$60
$200
$300
- Breakfast sponsor (includes 2 registrations)
$400
$500
- Morning or afternoon break (includes 1 registration)
$250
$300
- Lunch sponsor (includes 3 registrations and 5-minute
speaking opportunity)
$750
$1000
- Private company speaker/presenter (includes 2
registrations)
$500
$750
Delegate only:
Exhibitor (includes: Table-top exhibit space and 1
registration):
Sponsor Categories:
ITS Canada, 6975 Meadowvale Town Centre Circle #400, Mississauga, ON L5N 2V7, Tel: 905-593-0947/Fax: 905-593-0949
www.itscanada.ca
All prices quoted exclude HST.
* If you are interested in being a SPEAKER at our workshop, kindly get in touch with Mr. Rob Shirra at
rob.shirra@itscanada.ca
** If you are interested in becoming a member of ITS Canada, kindly get in touch with Janneke van der Zee-Poelking at
janneke@itscanada.ca
Registration is accepted on a first come first served basis, as space is limited. Payment can be made via cheque
payable to ITS Canada or by credit card. Please return completed form to Janneke van der Zee-Poelking at
janneke@itscanada.ca or by fax to 905-593-0949.
ITS Canada, 6975 Meadowvale Town Centre Circle #400, Mississauga, ON L5N 2V7, Tel: 905-593-0947/Fax: 905-593-0949
www.itscanada.ca